- The Cigna Group (Los Angeles, CA)
- …CA market. Must live in the Glendale/Los Angeles, CA area.** The **Manager, Provider Contracting Network Management** serves as an integral member of the ... Provider Contracting Team and reports to the AVP, ...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- Scripps Health (San Diego, CA)
- …specific field as well as in your overall. *About the Role:* * As Director, Provider Network Management, you will be responsible for creating and maintaining a ... comprehensive contracted provider network to serve SHPS members. * Oversee provider relations functions including training, problem solving and satisfaction… more
- Molina Healthcare (Sacramento, CA)
- …although they may have technical team members. **Knowledge/Skills/Abilities** * California Provider Network * Utilize Conga contract management software and ... as needed. * Works with operational leaders within the business to provide recommendations for process improvements, medical cost savings or revenue enhancements. *… more
- Sharp HealthCare (San Diego, CA)
- …virtually, and conducts physician, hospital and/or ancillary meetings, as necessary.Ensures provider network meets all regulatory and accreditation requirements ... to ensure the Plan maintains a compliant and adequate provider network . + Network DevelopmentEvaluates...resources, periodically outside of the San Diego area. Must provide own transportation with adequate insurance. + Proficiency in… more
- Molina Healthcare (Riverside, CA)
- …and must live in California _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... desire goals and reduce minimize the company's financial exposure. * Advises Network Provider Contract Specialists on negotiation of individual provider… more
- LA Care Health Plan (Los Angeles, CA)
- …Auditor II is responsible for the timely and accurate uploading of LA Care's provider network data, including identification and remediation of provider data ... ensure data quality measures, timelines and organizational policies are met related to provider network data. The position is responsible to conduct ongoing data… more
- Molina Healthcare (Long Beach, CA)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with ... impact the Medical Care Ratio (MCR) within each region. * Advises Network Provider Contract Specialists on negotiation of individual provider and routine… more
- Molina Healthcare (Long Beach, CA)
- …and must live in California _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... recruiting and negotiating with providers. * Participates in the evaluation of provider network and implementation of strategic plans to meet Molina's network… more
- Molina Healthcare (Long Beach, CA)
- **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and ... are the primary point of contact between Molina Healthcare and contracted provider network . They are responsible for network management including provider… more
- WelbeHealth (Fresno, CA)
- … Partnership team leads the charge by building meaningful relationships with our provider network partners, while ensuring excellent clinical care to those we ... **Job Requirements:** + Minimum of one (1) year of experience in provider network development and/or provider network management capacity, account… more